Individual
MISS CHELYSSA INA BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-II RII06091215
Contact information
Practice address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
(916) 672-6289
Mailing address
4200 ROCKLIN RD STE 1, ROCKLIN, CA 95677-2860
(916) 624-4428
(916) 672-6289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RII06091215
CA
Other
Enumeration date
05/03/2016
Last updated
05/04/2016
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